STATE OF TENNESSEE STATE F & A PAYROLL (NPI# 1295777019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295777019 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE STATE F & A PAYROLL |
| Other Organization Name | LAKESHORE MENTAL HEALTH INST |
| Practice Address |
5908 Lyons View Pike Knoxville TN 37919-7520 |
| Practice Telephone | 8655838770 |
| Practice Fax Number | 8654505211 |
| Mailing Telephone | 8655838770 |
| Mailing Fax Number | 8654505211 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | JASON CARTER (CHIEF OF PHARMACY) |
| Authorized Official Telephone | 6155326736 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
760 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2088685 | 01 |
| Other Name | Type Code |
|---|---|
| LAKESHORE MENTAL HEALTH INST | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457435893 | State of Tennessee State F & A Payroll | Psychiatric Hospital | 951 Court Ave, Memphis, TN 38103-2813 | 2006-10-24 |
| 1699796664 | State of Tennessee State F & A Payroll | Pharmacy | 710 Hart Ln, Nashville, TN 37216-2649 | 2006-07-22 |
| 1104869486 | State of Tennessee State F & A Payroll | Pharmacy | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2006-06-14 |
| Street Address |
5908 LYONS VIEW PIKE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-7520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306824263 | Carol Kraemer Witherington | Nurse Practitioner | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2006-01-02 |
| 1598049512 | John Frederick Richardson II | Speech-Language Pathologist | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2011-10-10 |
| 1396969028 | Shawn David Hassler | Psychologist | 5908 Lyons View Pike, Psychology, Knoxville, TN 37919-7520 | 2007-04-12 |
| 1669593695 | Martha Nelson | Pharmacist | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2007-04-03 |
| 1073634770 | Thomas Joseph Porter | Pharmacist | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2007-04-02 |
| 1386765980 | Sarah A Ebbs | Pharmacist | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2007-04-02 |
| 1467538009 | State of Tennessee | Psychiatric Hospital | 5908 Lyons View Pike, Knoxville, TN 37919 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912537655 | Stephen W Turski | Pharmacy | 10820 Parkside Dr, Pharmacy Department, Knoxville, TN 37934 | 2020-01-22 |
| 1952508095 | Fort Sanders Regional Medical Center | Pharmacy | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2007-07-02 |
| 1346318169 | Nutritional Support Services | Pharmacy | 9000 Executive Park Dr, Ste A203, Knoxville, TN 37923-4685 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801032040 | Turenne Pharmedco Inc | Pharmacy | 2525 Perimeter Place Dr Ste 100, Nashville, TN 37214-3727 | 2008-12-17 |
| 1760601074 | Clinical Solutions | Pharmacy | 416 Mary Lindsay Polk Dr Ste 515, Franklin, TN 37067-6212 | 2007-04-25 |
| 1588712582 | Kroger Limited Partnership I | Pharmacy | 775 Pickwick St, Savannah, TN 38372-3053 | 2007-01-08 |
| 1124199146 | Doctors Hospital Pharmacy Inc | Pharmacy | 420 W Morris Blvd Ste 160b, Morristown, TN 37813-2262 | 2006-11-13 |
| 1861404139 | Del Mar Medical, Inc. | Pharmacy | 198 E Division St, Mt Juliet, TN 37122-3324 | 2006-08-13 |
| 1205841822 | Vans Institutional Pharmacy Inc | Pharmacy | 154 Mount Pelia Rd, Martin, TN 38237-3812 | 2006-07-30 |
| 1598395659 | Debbie Smith Turski | Pharmacy | 7565 Dannaher Dr, Powell, TN 37849-4029 | 2020-01-16 |
| 1942489067 | Cannon County Hospital LLC | Pharmacy | 520 W Main St, Smithville, TN 37166-1138 | 2007-10-25 |
| 1487854634 | Cumberland Medical Center Pharmacy | Pharmacy | 421 S Main St, Crossville, TN 38555-5048 | 2007-07-24 |
| 1326169806 | Stones River Hospital | Pharmacy | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2007-04-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.